Peivandi S, Ebadi A, Modanlu S. The comparison between Intrauterine Insemination and Fallopian Tube Sperm Perfusion Using FAST®System in Patients with Unexplained Infertility.
INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2015;
8:379-84. [PMID:
25780519 PMCID:
PMC4355924 DOI:
10.22074/ijfs.2015.4177]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/07/2013] [Accepted: 11/06/2013] [Indexed: 11/08/2022]
Abstract
Background
Controlled ovarian stimulation (COH) with intrauterine insemination
(IUI) is commonly offered to infertile couples with patent fallopian tubes because it is
simple, non-invasive and cost-effective technique. Another non-invasive method is fallopian tube sperm perfusion (FSP). This study was performed to compare the relative
efficacy between FSP using fallopian sperm transfer (FAST) system and standard IUI in
patients with unexplained infertility.
Materials and Methods
This prospective randomized study was conducted at the IVF
Unit, Department of Gynecology and Obstetrics, Mazandaran University of Medical Sciences, Sari, Iran, from March 2011 to February 2012. A total of ninety patients with
unexplained infertility underwent ovarian stimulation with clomiphene citrate and human menopausal gonadotropin (HMG). Patients were then randomly assigned into either
group I (n=45) to undergo standard IUI or group II (n=45) to undergo FSP using FAST
system.
Results
The patients’ basic characteristics, including age, primary infertility and
duration of infertility, were not significantly different between two study groups. In
the group I, there were 9 pregnancies (a pregnancy rate per cycle of 20%), whereas in
the group II, 8 pregnancies occurred (a pregnancy rate per cycle of 17.8%, p>0.05).
Conclusion
FSP using FAST system offers no advantage over the standard IUI in order
to increase pregnancy rate in patients with unexplained infertility.
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